HomeMy WebLinkAboutPermit Mechanical 2009-1-22
Status
Issued
CITY OF I'lrK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00100
ISSUED: 01122/2009
APPLIED: 01122/2009
EXPIRES: '07122/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1120 FAIRVIEW DR SPACE 77
ASSESSOR'S PARCEL NO.: 1703273100600
Springfield, TYPE OF WORK: Heating SysteD:1
TYPE OF USE: New
Resideutial
PROJECT DESCRIPTION: Replace Electric Fuuace
Owner: MARKS RUBY D & ROBERT LEE
Address: 1120 F AIRVIEW DR #77
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
Expiration Date
08/31/2010
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped: .
Side 2 Setback: ' Paved Drive Rqd: ATTENTION: Oregon<1gW~~l:(Ulres you to
Reary'WOYf~~:". . % of Lot Coverage: follow rules adopted by the Oregon Utility
Solar ~1mf'PERMIT SHALL EXPIRE IF THE WORK, 'I'Intification Center. Those rules are s_e! f~~h
AUTHORIZED UNDER lHI~ I-'tKIVIII~tui11C IMPROVEMENTS In OAR 952'OU1-UU1~ 1I11 UlI,!'!' , vn" w_ w'
r.OMMENCED OR IS ABANDONED f! "I 10090. You may obtain copies of the rules by
Street J'fuRfQ.v It,. caS"llli!l\\laIkCIlfliijf. (Note:the tele~hone
AIH I ~B''D'AV PERIOD. number for the Oregon,Ulllity Notllicatlon
Storm Sewer Available:UowemR\ltsi!>~aBll\3-332-2344).
Special Instruction:
J DEVELOPMENT INFORMATION'
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multipiier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Total Amount Paid
Amount Paid
$9.48
$3.95
$79.00
$92.43
Total Value of Project
Fees Paid'
IIIIII
Plan Reviews I
Date Paid
1/22/09
1/22/09
1/22/09
CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00100
ISSUED: 01/22/2009'
APPLIED: 01/22/2009
EXPIRES: 07/2212009
VALUE:
Receipt Number
1200900000000000033
1200900000000000033
1200900000000000033
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
ReolJired InslJections ,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examine<! the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and tbe Laws of the State of Qj"egon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree'to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of2
Date
City of Springfield
Mechanical Authorization To Begin Work
E-mail.cdTo:associatedheating@gmail.com
Receipt # EC545535
1/22/200910:13:14 AM
Check on status of permit
By Phone: (541)726-3753 or EmaiI: permitcenter@cLspringfield.or.us
I D New construction
IKJ AdditionlalteratiorVreplacement
I Fumace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct a1teration~ and additions
I Gas heater units! in-wall, in-
duct susoended. etef
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Handler
$17,001
I
I
I
I
I
I
1
I
$17.001
I
I
I
I
I
I
lliJ ] or 2 family dwelling
o Multi-family
o 'Accessory Building
IJahRO.: 3550 IJobaddress: 1120 FAIRVIEWDR
I City/State/ZIP: SPRINGFIELD, OR 97477-2736
I Suite/bldg.lapt.no.: SPC 77
I Project name:
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1703273100600
ILot no.:
I Water heater
I Gas fireplace/insert/stove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stovelinsert
I Wood fireplace
I Chimneyflinerlflue/vent w/o
Replace clectriC fumace
I Name: Ruby Marks
I Phone: (541) 726-9004
I Fa"
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I Range hood I
I Clothes dryer exhaust I
I Single-duct exhaust (bathrooms; I
to;let c~''fid\i::YOreg '" law re 1uires yc u, t,o ,
roomst" '"'' J" j t'l trn "'\'o~}"n '111tlllll
I Att;cl8IJtlg~1tc~~Il<>;p~ _ ut" r'1n~~ ~;, ~s 'Jre seJ forth I
"I'.."""u''''~'~'iiih,f:;':''''''';''''''~'li'O'' 'i.'{lF(ll1ij,."""'1'oc'tclc!1
;J'l~l'l:'1f.~~~~'.i,-'\(,(1$htHrou(:j1l\ ' 1';\":j,,,~~,,"tj;,_~. ;iIt"
1~~;~;~:itl~~.~::~~~,I;E~:;~t~
,~"numDe.CE;nter 'is-j':o;;u-Sl;t;~i;~;:'; ~ )~~7'OO I
I Minimum fee used instead of Subtotal $79.00 I
I State Surcharge (12% of pennit fee) $9.48 I
I City OfSpringfie1d fees'" $3.95 I
I TOTAL PERMIT FEE $92.43 I
,.. City Of Springfield fees: 5% Technology Fee
I CCB lie. no.: 106275
I Business Name: ASSOCIATED HEATING &'AIR CONDITIONI
I Contact: B"n<l\l O;r<ieE'
IAdd'es" PO B'JlMI!FPFRD~IT ~H'\' I "xr'r.J: f- .., - ,
ICUy/StatelZ'PlW ,"4 - . -- -, ~ I r THJ:.~vul1l\
IPhnne: (S41)6nI1JiRQ.ME.NI'~9 t'lR Il: .,!"J;fi~M1hl" I~UI
1 - - ::J I ..,. AfJt;u"C!ttU'"
Em.;!: 'ssoc;~~JI\>'1t;pl'@g",ilI'i"I"IE"'J" ..
1 ' -'., " "...31
Metro lie. no.: City lie; no.:
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
PROCESSED BYl
This Authorization To Begin Work must be posted at the JOb site uniiire'placea by a r'ermll.
COM: ?x ')CA - :nOI OD
RCPT#: IWOi-. ~~
DATE PROCESSED: 1171Pl OC1
k,' Oi&:
.
t',
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 I 00
COM2009-00 I 00
COM2009-00100
Payments:
Typ~ of Payment
RECEIPT #:
Description
1 st Appliance
+ 5% Tecltnology Fee
+ 12% State Surcharge
ONLINE CHGS, ONLINE PERMIT CHGS
Paid By
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000033
,Date: 01/22/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
kr
ONLINE associated Online
heal & air
Payment Total:
, Page I of I
10:37:06AM
Amount Due
79,00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
1/2212009